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HomeMy WebLinkAboutBUSINESS PLAN 2/1/2007CRUZ THRU CAR WASH 3201 PANAMA LANE ~. \•\ t r CRUZ THRU EXPRESS SiteID: 015-021-0030C1~ Manager NASSIR SALEEN Location: 3201 PANAMA LN City BAKERSFIELD CommCode: BFD STA 13 EPA Numb: BusPhone: (661) 831-7857 Map 123 CommHaz Moderate Grid: 25A FacUnits: 1 AOV: SIC Code: DunnBrad: Emergency Contact / Title Emergency Contact / Title NASSIR SALEEN / PNArvAc+~ / Business Phone: (661) 831-7857x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x .............. Hazmat Hazards: De1H1tYi Contact NASSIR BALEEN Phone: (661) 831-7857x MailAddr: 3201 PANAMA LN State: CA City BAKERSFIELD Zip 93313 ............ Owner NASSIR BALEEN Phone: (661) 831-7857x Address 3201 PANAMA LN State: CA City BAKERSFIELD Zip 93313 ............. Period to TotalASTs: = Gal Preparers TotalUSTs: = Coal Certif'd: RSs: No ParcelNo: Emergency Directives: PROG A - HAZMAT EN~'p ~ ~ ~ ~ ~ ~oa~ Lased on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally exami d and am familiar with the information subm t ed and believe the information is true, ~ ur e, and complete. 'r ~~. Z , v~ igna Dat -1- O1/29/2d07 r ~ Y +.L-. F CRUZ THRU EXPRESS SiteID: 015-021-0030C1~! ~ ~ Hazmat Inventory By Facility Unit ~ ~ MCP+DailyMax Order Fixed Containers at Site ~ Hazmat Common Name... SpecHaz EPA Hazards Frm DailyMax Unit 1~lCP DETERGENTS DH L 550.00 GAL Nti~d -2- '01/29/2007 LOOZ/6Z/TO -£- i. ~ ~.. , F CRUZ THRU EXPRESS SiteID: 015-021-0030t7~ ~ ~ Inventory Item 0001 Facility Unit: Fixed Containers at Site ~ COMMON NAME / CHEMICAL NAME DETERGENTS Days On Site 365 Location within this Facility Unit Map: Grid: CAR WASH TUNNEL CAS# 7681-52-9 STATE TYPE PRESSURE Liquid TMixtur~ Ambient TEMPERATURE CONTAINER TYPE _ Ambient DRUM/BARREL-NONMETAL AMOUNTS AT THIS LOCATION Largest Container Daily Maximum Daily Average 55.00 GAL 550.00 GAL 550.00 GAL riAGF~K.LVUJ 1:V1~lYV1V1;1V1~ oWt. RS CAS# 35.00 Sodium Hydroxide No 1310732 10.00 Tetrasodium Pyrophosphate No ~ 77228$5 t1HGKKL A.75L~J51~11;1V 15 TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCA No No No No/ Curies DH / / / Mild -4- O1/29/Z607 r '~ F CRUZ THRU EXPRESS SiteID: 015-021-0030F74 ~ Fast Format ~ ~ Notif./Evacuation/Medical Overall Site. ~ Agency Notification Employee Notif./Evacuation YUlJ11C 1VV1.11 / ~VdCUdGlVil Emergency Medical Plan -5- 01/29/2007 F CRUZ THRU EXPRESS SiteID: 015-021-0030E7~ ~ Fast Format ~ ~ Mitigation/Prevent/Abatemt Overall Sits ~ iCC1Cd.5'C YiCVCill.lCJi1 AG1C0..7C 1~V111.0.111111C111,. V 160.11 l.lt,J V 1.110 1. tcC ~c~ui c:C 1~C:L1VaL1O71 -6- Ol/29/~007 :. F CRUZ THRU EXPRESS SiteID: 015-021-003004 ~ Fast Format ~ ~ Site Emergency Factors Overall Site ~ ~rc~;idi ndc~dl_u5 _ ,,,---~ ,.r V 1. 1 1 1 1. Y IJ 11 U V- V 1. 1 A r 11G r1Vl.Cl:. /tiVdll Wdl.Cl D 1.111u111y Vl.:I: U~Jdlll:y LCVC1 -7- 01/29/2007 ~ -_ ---_ e, ~. ;. F CRUZ THRU EXPRESS SiteID: 015-021-003004 ~ Fast Format ~ ~ Training Overall Sits ~ ~ Employee Training rcaye ~ nCiu ivi ru~ui~ u~~ nc 1lA tvt lt,l l.U1C IJAC -8- 01/29/2007 + CRUZ THRU EXPRESS ___________________________________ SiteID: 015-021-003004 + Manger NASSIR BALEEN BusPhone: (661) 831-7857 Location: 3201 PANAMA LN Map 123 CommHaz Moderate City BAKERSFIELD Grid: 25A FacUnits: 1 AOV: CommCode: BFD STA 13 SIC Code: EPA Numb: DunnBrad: Emergency Contact / Title Emergency Contact / Title NASSIR BALEEN / / Business Phone: (661) 831-7857x Business Phone: ( ) - x 24-Hour Phone ( ) - x 24-Hour Phone ( ) - x Pager Phone ( ) - x Pager Phone ( ) - x Hazmat Hazards: DelHlth Contact NASSIR BALEEN Phone: (661) 831-7857x MailAddr: 3201 PANAMA LN State: CA City BAKERSFIELD Zip 93313 Owner NASSIR BALEEN Phone: (661) 831-7857x Address 3201 PANAMA LN State: CA City BAKERSFIELD Zip 93313 , Period to TotalASTs: = Gal Preparers TotalUSTs: = Gal Certif'd: RSs: No ParcelNo: Emergency Directives: ~ PROG A - HAZMAT ENT~APR~9 2406 Based on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law tha4 I have personally examined and am familiar with the information submitted and believe the information is true, ~,~curate, and complete. ignature Date -1- 03/14/2006 UNIFIED PROGRAM INSPECTION CHECKLIST=: ~~~i ..... v .:~;..N..:~: , . ~~... , ...... ~ _ .2 w . , . ,... ~Rrr .SECTION 1: Business Plan and Inventory Program ~ • • BARERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield CA 93301 Tel.: (661) 6-3979 Fax: (661) 8~2-2171 FACILITY NAME NSPECTION DATE INSPECTION 71ME ~ ~' ~5~ l~o~~ ,, ADDRESS HONE NO. O OF EMPLOYEES ~D ( ~ 1-~~S FACILITY CONTACT USINESS ID NUMBER ~s-oz~-~~3ao~r s~- ~ ~ G- _ Section 1: Business Plan and Inventory Program ^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTt-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (~=Compliances OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND BUSIt1t3SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ~~ U lA ~, (r ~oOU ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PR EDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE CONTAINERS PROPERLY LABELED -----~~g-~~ lC~ ^ HOUSEKEEPING ^ FIRE PROTECTION ~G~~ ~~ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE1 ^ YES p~ ND EXPLAIN: _ ~: .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 ~~ • ~'~'-~ 13A- ~~~~ ~ ~ ~~ ~. rim ~~ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station q BUSI SS Site/ 00l ite Responsible Party (PI Pry ~1~~a 6 White -Prevention Services Yellow -Station Copy Pink - Buaineae Copy FD2048 (Rw. 02105) ^- ~, ~~ ~~~ IJNIFIE® PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661) 326-3979 __ _ _ INSPECTION DATE INSPECTION TIME SECTION 1 Business ,Plan and Inventory Program FACILITY NAME G~~z, -~t..~ t~vv . ~~ w~ r~ ADDRESS FACILITYCONTACT q _. _~~as _ __ _ _. -- ~~ 7 No. of Employees • - - -- -D~ ~ ?OOS Numbe 15-021- Section 1: Business Plan and Inventory Program ~ 3~ (-Routine ^ Combined ^ Joint Agency OMulti-Agency ^ Complaint e- C V lV=woatonnCel OPERATION COMMENTS ii,,~1 ^ ^ APPROPRIATE PERMIT ON HAND l v~ ~~~ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS A(~{)~"iJ` ~ 1L ^ ^ CORRECT OCCUPANCY ~ ©~ ^ ^ VERIFICATION OF INVENTORY MATERIALS ,~-~~-~CG~-~J(ij ^ ^ - --- VERIFICATION OF QUANTITIES ~S~ ~L ~~ ^ ^ VERIFICATION OF LOCATION INS •nL C~02.~l~S'U .~ Clv~/y~/C--v ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ~~, ~--L ^ ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE i ~ X i T `~ C-r-t~2- t,t (7t-f I S C, ~~ ^ ^ CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING _... _ ^ ^. FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEOUATE ~ ON HAND ANY HAZARDOUS WASTE ON SITE?: ^ YES ~IO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 Inspector (Please Print) Fire Prevention 1 sl-InlShift of Site White • Environmental Services Yellow • Station Copy _ e Business Site Responsi - Pink -Business Copy ,~~'^~ CITY OF 13AKERSFIELD . - a Ep~RB ' ° OFFICE OF ENVIRONMENTAL SERVICES ~ ~' ARTM T 1715 Chester Ave., CA 93301 (661) 326-3979 -' ~ • HAZARDOUS MATERIALS INVENTORY CHEMICAL DESCRIPTION (one fomr per material per building orareaJ ~EW ^ ADO ^ DELETE ^ REVISE 200 Page _ of -~----~~ 1. FACILITY I~IFORMATION BUSINESS NAME (Same as FACILITY NAME or DBA ~ Doing Business As) - ~ 3 J CHEMICAL LOCATION ~tNS f 20t CHEtdICAL LOCATION Qir ~-~Tl uivf ~PH1c_n/~ 'j ivlnlJl/[~ CONFIDENTIAL (EPCRA) ^ Yes ^ No 202 ". _ ;_----- i ' 1 ~ I .I . _i-_ . , ' --.--- 11 -MAP Jt (optionaQ_ _ 203 GRID # (opfwnaQ - ----- --------- 204 - i FACILITY I)D~# ~ ~~„ i II. C~IEMiCAL LVFORMATION CHEMICAL NAME 205 TRADE SECRET ^ Yes ^ No 206 ~T~-,(~,~-~ f~ I! Subject to EPCRA, refer to instructions 207 ' COMMON NAME ~ EHS' ^ Yes ^ No 208 ; CAS # 209 •If EHS is'Yu,' all amounts below must be in Ibs. i FIRE CODE HAZARD CLASSES (Complete it requested by local fire chief) 210 TYPE - - - -~ - - - CURIES 273 ^ p PURE 7~m MIXTURE ^ w WA£-E .. R-,UIOACT(Vc ^ Yes ^ No 212 PHYSICAL STATE ^ s SOLID ~ht.fOUID ^ g GAS 2t4 LARGEST CONTAINER S,S-' 215 FED HAZARD CATEGORIES ^ 1 FIRE ^ 2 REACTIVE ^ 3 PRESS iRE F.ELEv;SE ( 14 A :U"'E HEALTH ~5 CHRONIC HEALTH 276 (Check all that apply) I ANNUAL WASTE 277 ,d4XIMUtit' 218 A.VL'RAGE r~ 219 ~ STATE WASTE CODE 220 AMOUNT DAILY AMOUNT ~-~ V ~ DAILY AMOUNT J i UNITS' ~ga GAL ^ cf CU FT ^ Ib LBS L7 to TONS 227 ' DAYS ON SITE 222 ~ ' If EHS, amount must be in Ibs. i ~ STORAGE CONTAINER ^ a ABOVEGROUND TANK ~ PLASTIC/NONMETALLIC DRUM ^ i FIBER DRUM ^ m GLASS BOTTLE ^ q RAIL CAR 223 (Check all that apply) ^ b UNDERGROUND TANK ^ f CAN u j BAG ^ n PLASTIC BOTTLE ^ r OTHER ^ c TANK INSIDE BUILDING ^ g CARBOY ^ k BOX ^ o TOTE BIN i ^ d STEEL DRUM ^ h SILO ^ I CYLINDER ^ o TANK WAGON STORAGE PRESSURE ~a AMBIENT ^ as ABOVE AMBIENT ^ ba BELOW AMBIENT 224 STORAGE TEMPERATURE ~'3AMBIENT ^ as ABOVE AMBIENT ^ b3 BELOW AMBIENT ^ c CRYOGENIC 225 , .. _ - -- I .. %WT ~` ' ` HAZARDOUS COMPONENT EHS CAS # - ' l~--= -------- _ -----. - - _- - ---- - - 7 ~ 226 i 227 ~ ^ Yes ^ No 228 229 i 2 i 230 231 ^ Yes ^ No 232 233 i , I----~ ----------. ...., _..--_ ---------------------------..-.__. i 3 234 i 235 237 i ~ ^ Yes ^ No 236 i 4 I 238 I 239 ^ Yes 241 Il ^ No 240 ... . i - - -- -- ------ -- ---------_---- 5 i 242 273 Yes No 14 245 ^ ^ 2 -- - ---- -III. SIGNATURE -_--- i ~- __ PRINT NAME 8 TITLE OF AUTIiORIZ'Eb COMPANY REPf2ESENTATIVE SIGNAiUf2E - - - ~ ~ DATE 246 UPCF (7/99) S:\CUPAFORMS\OES2731.TV4.wpd